Michele Marie Tingleff, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051037349 Issued in IL

Practice address

200 N Main St
East Peoria, IL 61611-2549

Phone

(309) 694-1496

Fax

(309) 694-2097

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shelley Marie Tingleff Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1851994800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 S HARKERS CORNER RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616079605",
            "telephone_number": "309-208-4709",
            "fax_number": "309-389-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112549",
            "telephone_number": "309-694-1496",
            "fax_number": "309-694-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLEFF",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051037349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "TINGLEFF",
            "middle_name": "MARIE",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.